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Treat BPPV of the lateral canal with the Lempert roll

Already know you have lateral canal BPPV? Then you don't need to start from scratch. This course focuses exclusively on treatment โ€” teaching you the Lempert roll for both right- and left-sided lateral canal BPPV at a lower cost than our bundled diagnosis-and-treatment course. What sets this course apart from the limited number of Lempert roll demonstrations available online is what you see while the maneuver is being performed: we show you exactly what is happening inside the inner ear at each step, so you understand not just what to do but why it works โ€” and how to recognize when it's working. If your diagnosis is confirmed and you're ready to treat, this is where to start.

This material is intended for educational purposes only, and does not substitute evaluation by a qualified medical professional.

In developing this course we reviewed literature (so that you don't have to)!

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This maneuver was originally described in this article:

  • Lempert T, Tiel-Wilck K (1996) A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 106: 476-8. doi: 10.1097/00005537-199604000-00015

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Literature that may be useful for patients:

  • Bastani P, Phillips V, Rieiro H, Otero-Millan J, Zee D, Newman-Toker D, Tehrani A (2025) Feasibility of Using Smartphone Eye-Tracking for Self-recording Positional Tests. Digital Biomarkers: 1-11. doi: 10.1159/000545720
  • Bhandari R, Bhandari A, Hsieh Y-H, Edlow J, Omron R (2023) Prevalence of Horizontal Canal Variant in 3,975 Patients With Benign Paroxysmal Positional Vertigo: A Cross-sectional Study. Neurology: Clinical Practice 13: e200191. doi: 10.1212/CPJ.0000000000200191
  • Casani AP, Nacci A, Dallan I, Panicucci E, Gufoni M, Sellari-Franceschini S (2011) Horizontal semicircular canal benign paroxysmal positional vertigo: effectiveness of two different methods of treatment. Audiol Neurootol 16: 175-84. doi: 10.1159/000317113
  • Melliti A, van de Berg M, van de Berg R (2023) Capturing nystagmus during vertigo attacks using a smartphone: adherence, characteristics, pearls and pitfalls. J Neurol. doi: 10.1007/s00415-023-11965-y
  • Phillips V, Bastani PB, Rieiro H, Hale DE, Otero-Millan J, Zee DS, Newman-Toker DE, Tehrani AS (2025) A Pilot Study of Smartphone Eye Tracking for Detection of Positional Nystagmus. Digit Biomark 9: 124-129. doi: 10.1159/000547008

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Literature for specialists who want to dig deeper:

  • Balatsouras DG, Koukoutsis G, Ganelis P, Economou NC, Moukos A, Aspris A, Katotomichelakis M (2014) Benign paroxysmal positional vertigo secondary to vestibular neuritis. Eur Arch Otorhinolaryngol 271: 919-24. doi: 10.1007/s00405-013-2484-2
  • Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 37: 371-8. doi: 10.1212/wnl.37.3.371
  • Correia F, Castelhano L, Cavilhas P, Escada P (2022) Lateral semicircular canal-BPPV: Prospective randomized study on the efficacy of four repositioning maneuvers. Acta Otorrinolaringol Esp (Engl Ed) 73: 27-34. doi: 10.1016/j.otoeng.2020.11.002
  • Fife TD (2012) Positional dizziness. Continuum (Minneap Minn) 18: 1060-85. doi: 10.1212/01.CON.0000418376.80099.24
  • Kim JS, Oh SY, Lee SH, Kang JH, Kim DU, Jeong SH, Choi KD, Moon IS, Kim BK, Kim HJ (2012) Randomized clinical trial for geotropic horizontal canal benign paroxysmal positional vertigo. Neurology 79: 700-7. doi: 10.1212/WNL.0b013e3182648b8b
  • Kutlubaev MA, Xu Y, Hornibrook J (2019) Benign paroxysmal positional vertigo in Meniereโ€™s disease: systematic review and meta-analysis of frequency and clinical characteristics. J Neurol. doi: 10.1007/s00415-019-09502-x
  • Riggio F, Dispenza F, Gallina S, Kulamarva G, Gargano R, Speciale R (2009) Management of benign paroxysmal positional vertigo of lateral semicircular canal by Gufoni's manoeuvre. Am J Otolaryngol 30: 106-11. doi: 10.1016/j.amjoto.2008.03.001
  • Shah MU, Lotterman S, Roberts D, Eisen M (2019) Smartphone telemedical emergency department consults for screening of nonacute dizziness. Laryngoscope 129: 466-469. doi: 10.1002/lary.27424
  • Teixido M, Woods O, Kung B, Seyyedi M (2016) A 3D benign paroxysmal positional vertigo model for study of otolith disease. World J Otorhinolaryngol Head Neck Surg 2: 1-6. doi: https://doi.org/10.1016/j.wjorl.2016.02.002
  • Traboulsi H, Teixido M (2021) BPPV Viewer: A downloadable 3D BPPV model for study of otolith disease. World Journal of Otorhinolaryngology - Head and Neck Surgery 7: 34-39. doi:ย 10.1016/j.wjorl.2018.10.001
  • von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, Neuhauser H (2007) Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 78: 710-5. doi: 10.1136/jnnp.2006.100420

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